| NPI | 1518099647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MCCARY Treasurer 313-896-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078099) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2015-02-02 |