| NPI | 1922584218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA WHITE Therapist 313-574-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801089822) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |