| NPI | 1457948598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDA VERONICA COLQUITT Therapist 248-763-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |