| NPI | 1790446433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREONNA JONES Owner 313-564-7204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |