| NPI | 1922624220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAJUANA E MITCHELL Owner 313-590-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251B00000X Case Management | |
| 251C00000X | |
| 251E00000X Home Health | |
| 261Q00000X | |
| 261QC1800X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2021-03-30 |