| NPI | 1427417476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CALHOUN Clinical Director 313-279-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011475) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802079555) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |