| NPI | 1255410023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAISHA KENYATTA Executive Director 313-822-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 822778) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |