NPI | 1265291470 |
---|---|
Entity Type | Organization |
Authorized Contact | RAPHAEL ANTONIO TRAMBLE Lead Clinical Therapist 313-623-9112 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2024-03-18 |
Last Update Date | 2025-03-25 |