| NPI | 1912723925 |
|---|---|
| Other Name | NAQUANA JONES |
| Entity Type | Organization |
| Authorized Contact | NAQUANA JONES Employee 313-319-0869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |