| NPI | 1235479700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARR ALLEN-PETTWAY Branch Director 248-414-4085 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI CB630200978) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2022-02-14 |