| NPI | 1942380951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BAZZY Director 313-523-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6802076104) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |