| NPI | 1699063297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE D CHARLEY Owner 313-587-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI D25724) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2022-03-21 |