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 |