| NPI | 1598152241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M BROWN Director 586-222-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |