| NPI | 1205251543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHISOMNAZU WINIFRED IWEHA-ONONYE Director 248-890-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ AP4314) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |