| NPI | 1205265287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH M SNYDER Executive Director 313-274-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |