| NPI | 1104264662 |
|---|---|
| Doing Business As | HOLY CROSS SERVICES |
| Entity Type | Organization |
| Authorized Contact | LOISTENE PHILLIPS Credentialing Coordinator 313-880-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 250379) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI SA0250381) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI SA0250380) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2021-05-13 |