NPI | 1912362419 |
---|---|
Entity Type | Organization |
Authorized Contact | LATONYA RENAE MCCOY Clinical Social Worker 313-208-2430 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 680408197) |
Enumeration Date | 2015-12-28 |
Last Update Date | 2017-03-30 |