| NPI | 1952060576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJANAE DEANN FORD Owner/Outpatient Therapist 313-378-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |