| NPI | 1487432738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOANNA MAE BLACK Owner 313-926-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-07-31 |