NPI | 1033773528 |
---|---|
Entity Type | Organization |
Authorized Contact | LASHAWN MYERS Director 313-737-0018 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251B00000X Case Management |
261QM0801X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-04-30 |
Last Update Date | 2021-12-08 |