| NPI | 1528137528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN COLE Clinical Social Worker 313-613-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801077402) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |