| NPI | 1952909558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WALKER Owner 313-403-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2021-01-07 |