NPI | 1548637143 |
---|---|
Doing Business As | RE- CONNECT MY LIFE INC. |
Entity Type | Organization |
Authorized Contact | SHUNTAI WALKER Clinical Owner 810-515-1931 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-08-31 |
Last Update Date | 2019-03-12 |