| NPI | 1376053322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE ANN HATCHINSON Director 586-698-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801020802) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801020802) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |