| NPI | 1962975938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN KING CEO 313-292-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |