| NPI | 1336802883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE HAIRSTON Limited Licensed Counselor License 810-730-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-05-22 |