| NPI | 1417562026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE PERRY Adminstrator 313-258-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-12-01 |