| NPI | 1104209162 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TAMIKA MARIE REEVES Owner/Clinical Director 248-499-4312 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251K00000X Public Health or Welfare | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 101YP2500X Counselor, Professional | |
| 163W00000X Registered Nurse | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 104100000X Social Worker | |
| Enumeration Date | 2015-07-08 | 
| Last Update Date | 2015-08-10 |