| NPI | 1023482825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J. OESTERWIND Program Director 734-641-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 822965) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2016-10-04 |