| NPI | 1508365560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE SMITH Licensed Professional Counselor 313-454-1746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6401014686) |
| Additional Taxonomies | 251S00000X (Licence: MI 6401014686) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MI 6401014686) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |