| NPI | 1790026755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIYAH MASUDI Clinical Director/Counselor 734-259-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801085903) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2024-12-23 |