| NPI | 1316325640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GREEN Social Worker 586-596-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085587) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-30 |