| NPI | 1396995700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE MASON Social Worker 313-961-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801086380) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |