| NPI | 1619749801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARIS BROWN Administrator 313-558-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 174200000X Meals | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2024-12-03 |