| 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 |