| NPI | 1568194256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WEATHERHEAD Authorized Official/Owner 313-288-8236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |