NPI | 1134550528 |
---|---|
Entity Type | Organization |
Authorized Contact | MARVIN ARNOLD Program Manager 313-867-8015 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MI 821624) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2013-12-10 |