| NPI | 1336536572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R JACKSON Owner 313-645-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |