| NPI | 1710505953 |
|---|---|
| Doing Business As | FARTIMA TUCKER |
| Entity Type | Organization |
| Authorized Contact | FARTIMA TUCKER Owner, Clinical Psycho Therapist 313-303-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-08-15 |