| NPI | 1508564667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WALKER Licensed Clinical Social Worker 248-977-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |