| NPI | 1316690753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONOVAN MISKE Executive Director 313-444-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |