| NPI | 1790523462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA D BROWN Chief Administratot 313-575-9629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |