| NPI | 1386048957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA MATTHEWS Director 313-397-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 1659751477) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2015-11-30 |