| NPI | 1386234193 |
|---|---|
| Doing Business As | NUMINA |
| Entity Type | Organization |
| Authorized Contact | AMYNA FTOUNI Co Owner 313-909-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 103TH0004X Psychologist Health | |
| 103TH0100X Psychologist Health Service | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 174400000X Specialist | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-04-23 |