| NPI | 1619451655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA ZAMORA-AHLSTROM Clinical Director 586-291-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-15 |
| Last Update Date | 2020-07-30 |