| NPI | 1912618752 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHASITY SHELTON Owner/Clinical Director 586-277-8999 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2022-12-13 | 
| Last Update Date | 2022-12-13 |