| NPI | 1033595137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMONE RENEE MARION Counselor 313-974-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2021-07-16 |