| NPI | 1063810893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON REID Qualified Mental Health Professiona 313-308-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 1922037134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 1922037134) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |