| NPI | 1528721081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA LOVE Owner/Clinical Social Worker 313-923-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2022-02-15 |