| NPI | 1437923554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHEIKYA HUNTER CEO 810-339-6942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |