NPI | 1992128110 |
---|---|
Entity Type | Organization |
Authorized Contact | TERENCE DALE WOOLFORK CEO 313-544-0731 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2014-01-23 |
Last Update Date | 2014-01-23 |