| NPI | 1780414615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRERY ELAINE SMITH Chief Executive Officer 313-402-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |