| NPI | 1629520622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL MILES Administrator 313-310-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2023-12-27 |