NPI | 1619749801 |
---|---|
Entity Type | Organization |
Authorized Contact | AMARIS BROWN Administrator 313-445-4765 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |