| NPI | 1598167371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN E. LEAVITT Executive Director 734-973-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801080546) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2020-08-31 |