| NPI | 1215092390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN CHILES THOMAS Executive Dir. 313-334-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 822416) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |