| NPI | 1336527571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EMANUEL HINES Member 248-579-9791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087640) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6801087640) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |