| NPI | 1962871467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIYA ANDERSON Sole Member 313-265-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801016233) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2016-04-20 |