| NPI | 1609001429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALDA WOODWARD Owner 313-506-4205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801089961) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |