| NPI | 1578288361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CATHERINE BAKHAI Clinical Social Worker 734-881-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-11-23 |