| NPI | 1720434426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN KROLICKI Former Executive Director Previous 313-806-4873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801067478) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2024-01-24 |