| NPI | 1144424680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD HAYNES Director Of Clincial Services 313-965-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |