| NPI | 1821120445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA ANTOINETTE STEPHENS Chief Executive Officer 248-396-5419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2025-02-12 |