| NPI | 1225814841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAL OMAR Medical Director 734-716-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |