| NPI | 1518685460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAH KHATIB Bcba 313-552-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker |
| 207Q00000X Family Medicine | |
| 225X00000X Occupational Therapist | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2025-04-16 |