| NPI | 1497224901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY LYNN WILKERSON Clinical Social Worker 313-529-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |