| NPI | 1053289009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA BROWN Chief Administrative Officer 313-575-9629 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |