| NPI | 1154205136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY D HARVEY Director/ Manager 313-573-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-27 |