| NPI | 1326690314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA TOSHA A. LYMON CEO/Program Director 248-270-7092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 347D00000X Train | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-02-10 |