| NPI | 1508696071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA COBB Owner 313-727-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-10-03 |