NPI | 1922571041 |
---|---|
Entity Type | Organization |
Authorized Contact | YVONNE BROOKS Lead Clinician 313-451-4239 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-01-11 |
Last Update Date | 2023-01-12 |