| NPI | 1881435543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L'TANYA DENISE GREEN Chief Executive Officer 734-657-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |