| NPI | 1609711126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE WILSON Owner 313-333-0916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-04-21 |