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