| NPI | 1104785682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKEAH AMES Clinic Manager 313-687-3729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-04-14 |