| NPI | 1104448570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY Z BROWN Owner 313-300-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |