| NPI | 1821458266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MCMILLAN Owner 313-544-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801012684) |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2016-02-27 |