| NPI | 1871891697 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEBORAH SNYDER Executive Director 313-579-5989  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2011-03-02 | 
| Last Update Date | 2012-10-12 |