| NPI | 1720557093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NICOLE CORTEZ Clinical Social Worker 248-457-5178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |