| NPI | 1740853951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARTIMA TUCKER President 313-312-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2021-09-21 |