| NPI | 1366811325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA N MOORE Director 313-445-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |