| NPI | 1326242827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA DUNTLEY-MATOS Program And Clinical Director 734-474-0792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078742) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-10-11 |