| NPI | 1083130603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMELL JEFFESON Owner 313-414-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |