| NPI | 1861956807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY SIMS Administrator 313-671-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |