| NPI | 1093839862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE JEAN-LOUIS Medical Director 313-867-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 82164) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |