| NPI | 1154477859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WOODWARD Clinical Director 313-342-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI SA0821863) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-12-19 |