NPI | 1649790387 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH ROSE EITEN Owner 313-444-8301 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801095169) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2022-07-21 |