| NPI | 1508491168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODIS BELLINGER Owner/Clinical Director 313-772-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |