| NPI | 1790320331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DJUANA L COATS Executive Director 313-646-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-06-18 |