NPI | 1992879670 |
---|---|
Entity Type | Organization |
Authorized Contact | YATINDER M SINGHAL Medical Director 248-335-1130 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801066009) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 101912) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2008-04-24 |