| NPI | 1164675658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINE V. MAYFIELD Owner 313-972-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801081705) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |