| 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 | 177F00000X Lodging |
| 251B00000X Case Management | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 251T00000X 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 |