| NPI | 1962763052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY REDMOND Clinical Director 313-255-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801083821) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2013-04-03 |