| NPI | 1770942096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIQUITA CARTER Manager 313-521-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health (Licence: MI 6801064578) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2023-03-16 |