| NPI | 1861571879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CONNELLY Sr VP/CFO 313-876-8714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 830190) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |