| 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 |