| NPI | 1619256799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSLYN JO CARTER CEO/Director 313-363-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401004803) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2023-11-13 |