| NPI | 1023540515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNICIA L SIMLEY-CALVIN Administrator 313-221-3610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015231) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401015231) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401015231) | |
| 101YP1600X Counselor, Pastoral (Licence: MI 6401015231) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 6401015231) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |