| NPI | 1336212109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA HOUGHTON VP Finance 313-570-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-08-18 |