| NPI | 1285463646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE LAVETTE IRVIN Mental Health Counselor 313-879-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |