| NPI | 1225601032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCHE WHITE Director 313-729-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 104100000X Social Worker | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2022-01-27 |