| NPI | 1871035345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA WILSON Owner 313-689-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092051) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |