| NPI | 1568278992 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ARIANNA M ZIMMERMAN Clinical Psychotherapist 313-969-0196 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2024-12-10 | 
| Last Update Date | 2024-12-10 |