| NPI | 1942033378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CLEMONS Owner 313-258-4143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 104100000X Social Worker |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |