| NPI | 1225520133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES COUNCIL WICKERSHAM Clinical Director 248-931-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |