| NPI | 1689287815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARDAYA FUQUAY Executive Director 313-415-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 172V00000X Community Health Worker | |
| 221700000X Art Therapist | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |