| NPI | 1033698477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA ONYEGBADO Operation Manager 313-826-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2019-11-04 |