| 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 |