| NPI | 1457761702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY PASH COO 313-309-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2020-04-23 |