| NPI | 1215366646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAKEEM LUMMUBA Clinical Dirctor 313-945-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801083912) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |