| NPI | 1265995542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSARETIN UWAIFO CEO/Administrator 313-478-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-12-25 |