| NPI | 1720763923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE R HENDRICKS Licensed Master Of Social Work 734-355-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-18 |