| NPI | 1679370597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYVON LARNARD SHIPMAN CEO 586-907-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-03-11 |