| NPI | 1396956306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CARROLL Executive Director 313-371-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 821237) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-06-20 |