| NPI | 1689965212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE FINE Social Worker Clinical 313-801-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801057300) |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2024-01-02 |