| NPI | 1932955614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREL M HICKS Owner 313-405-9642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2026-04-27 |