| NPI | 1770906158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNEKA JEAN OWENS Lpc Ncc Director 313-769-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401009269) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2015-10-06 |