| NPI | 1396275913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVONNE RENAE WILLIAMS Memeber 248-595-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6801086344) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |