| NPI | 1700313723 |
|---|---|
| Other Name | LIMITED LICENSE SOCIAL WORKER |
| Entity Type | Organization |
| Authorized Contact | THOMAS NANTAIS COO 313-874-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |