| NPI | 1063235604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEITA COBB Owner 313-805-0384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-27 |