| NPI | 1346498623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANESTA RODNEZ-SIMPSON CEO 248-730-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801080159) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 6801080159) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2009-01-14 |