| NPI | 1407457864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKEIS BURCH Board Certified Behavior Analyst 313-401-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |