NPI | 1932784121 |
---|---|
Doing Business As | LIFE 180 GROUP |
Entity Type | Organization |
Authorized Contact | MARQUEISHA A BROWN CEO 313-878-2732 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Enumeration Date | 2021-03-10 |
Last Update Date | 2024-04-03 |