| NPI | 1942853023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA GORE Executive Director 734-308-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2025-05-02 |