| NPI | 1255665436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND KYLE WILLIAMS Assistant Director 313-347-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2015-07-10 |