| NPI | 1235892084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMIKA BANKS Social Worker 586-213-2837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-12-17 |