| NPI | 1104706175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS SKURAS Executive Director 313-284-2858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-26 |