| NPI | 1538528450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA STARKS License Professional Counselor 313-587-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401009359) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |