| NPI | 1710598354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUVELLA R PORTER Co Founder/Program Development 313-772-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2023-11-24 |