| NPI | 1639854839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L CARRARA Licensed Master Of Social Work 313-701-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |