| NPI | 1083396816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT ATCHISON CEO 313-815-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 251B00000X Case Management | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |