| NPI | 1275910531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILONA PHILLIPS Owner 734-478-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088329) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |