| NPI | 1386953727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LUBAWAY Vice President Finance 313-966-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2020-03-23 |