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 |