| NPI | 1265571681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNAICE MCPEAKE Medical Social Worker 313-529-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801033679) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-08-13 |