| NPI | 1316305154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RONALD ADAMS Owner 313-537-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401015283) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 6401015283) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |