| NPI | 1093561102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MORAA OBARE Director 313-378-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-09-26 |