| NPI | 1215314802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HANNON Treasurer 313-556-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 71574G) |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2015-05-03 |