| NPI | 1326791872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KLASSEN Chief Executive Officer 734-331-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 104100000X Social Worker | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-03-02 |