| NPI | 1699518795 |
|---|---|
| Former Legal Business Name | SAFE WITH SELF BHTC |
| Entity Type | Organization |
| Authorized Contact | HOSSAM SHUKAIRY Credentialin 810-780-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |