| NPI | 1639599343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSHUNDRA GRAHAM Clinical Social Worker 313-410-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085573) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-12-10 |