| NPI | 1821537267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA HARRIS Owner 248-419-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 235Z00000X Speech-Language Pathologist, | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |