| NPI | 1215475934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GONZALEZ Clinical Social Worker 734-926-5314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093669) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-07 |