| NPI | 1417495680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB NAOMI TORRES Owner 734-846-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014340) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-04-28 |