| NPI | 1356522312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE DAVIS Executive Director 313-629-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI CF820287045) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |