| NPI | 1851002711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGILEAN FLEMING Owner 313-449-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor School | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-01-27 |