| NPI | 1205270212 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELAINE BOOTH President 248-321-3396  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801058862)  | 
| Enumeration Date | 2013-04-20 | 
| Last Update Date | 2013-10-18 |