| NPI | 1811472129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEELA HEPBURN C.E.O 313-231-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |