| NPI | 1386083541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIPPORAH K BOLAR Program Director 313-784-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 823200) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |