| NPI | 1255001087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA VINSON Adminstrator 313-656-7105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 104100000X Social Worker |
| 106S00000X Behavior Technician | |
| 171400000X Health & Wellness Coach | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 221700000X Art Therapist | |
| 372500000X Chore Provider | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |