| NPI | 1457726341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD BALL Director 313-570-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801061377) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2017-12-15 |