| NPI | 1740177013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER JALEASE WHITE CEO 313-701-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 174H00000X Health Educator |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-07-02 |