| NPI | 1245874122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT TILFORD Executive Director 313-833-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-11-05 |