| NPI | 1235395195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH COLEMAN Director 248-849-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 363LS0200X Nurse Practitioner, School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-11-15 |