| NPI | 1700685518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIVIA DOMINIQUE SMITH Clinical Social Work 313-717-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2026-05-22 |