NPI | 1851185227 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANTANIQUE JACKSON Founder 313-695-6244 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2025-04-08 |
Last Update Date | 2025-04-08 |