| NPI | 1336663913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRADINA E TAYLOR Mental Health Clinician 313-443-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085238) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-06-14 |