| NPI | 1689972366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE GILLESPIE CEO 313-587-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801060901) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |