| NPI | 1073350302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIA CHENAULT-ROBINSON Owner/Provider 313-887-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2025-01-23 |