| NPI | 1457776502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET OKAGBUE-REAVES Owner 734-660-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078232) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801078232) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801078232) | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-04-07 |