| NPI | 1326721002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATME ANCOUNI Clinical Social Worker 313-414-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-08-05 |