| NPI | 1639677636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MAUREEN ROMANCHIK CEO 248-506-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW005336) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |