Organization
ENCOURAGEMENT FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTIQUE BROWN (OWNER)
(313) 585-2438
Entity
Organization
Contact information
Practice address
5686 LAWNDALE ST, DETROIT, MI 48210-1837
(313) 585-2438
Mailing address
5686 LAWNDALE ST, DETROIT, MI 48210-1837
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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