NPI | 1972019917 |
---|---|
Entity Type | Organization |
Authorized Contact | JATERA K MAING Licensed Clinical Social Worker 734-386-0560 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093525) |
Enumeration Date | 2017-12-27 |
Last Update Date | 2020-01-30 |