| NPI | 1922529478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKOYATA ULINFUN Administrator 734-237-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091539) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801091539) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |