NPI | 1467225946 |
---|---|
Entity Type | Organization |
Authorized Contact | YASSER MANSOUR CEO 313-207-4645 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106E00000X Assistant Behavior Analyst | |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
225100000X Physical Therapist | |
225200000X Physical Therapy Assistant | |
225XM0800X Occupational Therapist, Mental Health | |
225XP0019X Occupational Therapist, Physical Rehabilitation | |
225XP0200X Occupational Therapist, Pediatrics | |
2355S0801X Specialist/Technologist, Speech-Language Assistant | |
235Z00000X Speech-Language Pathologist, | |
251B00000X Case Management | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2023-11-06 |
Last Update Date | 2024-10-07 |