| NPI | 1487195012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WODROW HALL Owner 248-419-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 405300000X Prevention Professional | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |