| NPI | 1326700907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LYNN TIERRAMAR Licensed Professional Counselor 313-614-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2024-10-17 |