| NPI | 1154114023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAIL ALKAHALI Owner 313-558-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-06-10 |