| NPI | 1508502212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADAE MARIA ROBERSON Licensed Social Worker 248-635-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-12 |