| NPI | 1043944986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RADFORD Owner 313-744-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106S00000X Behavior Technician | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-03-05 |