| NPI | 1780260836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W GEORGE Member 586-701-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |