| NPI | 1750924775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIREN GUERECA Owner 313-312-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-05-22 |