| NPI | 1346613403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN ARNOLD Executive Director 313-733-4528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management (Licence: MI SA0823269) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MI SA0823269) | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2018-06-16 |