| NPI | 1699299982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEHNS SILVA GONCALVES Owner 734-677-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801018804) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |