| NPI | 1265914832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIYANA HORTON Provider 734-276-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093883) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |