| NPI | 1639858673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTIQUE BROWN Owner 313-585-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |