| NPI | 1598134983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LATEASE BISHOPJOHNSON Director 734-444-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X (Licence: MI 6401009531) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2022-01-12 |