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 |