| NPI | 1225483167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATIKA CLAXTON Owner 248-906-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |