NPI | 1760514681 |
---|---|
Doing Business As | PERSONAL DYNAMICS CENTER |
Entity Type | Organization |
Authorized Contact | PAMELA ANN CZUJ Executive Director 313-563-4142 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801013746) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 1-00442) |
1041C0700X Social Worker, Clinical (Licence: MI 6801013746) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2008-07-08 |