| NPI | 1578957858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL THOMAS Owner/CEO 313-506-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094273) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02865) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2016-10-31 |