| NPI | 1962863688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE THOMPSON Owner/Authorized Official 313-570-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091296) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |