| NPI | 1710174453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDGAR JOHNSON Chief Executive Officer 734-254-9316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-05-19 |