| NPI | 1114675527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA HABEEB Director 313-283-9374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |