| NPI | 1417104498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAPRICE ELLENE QUINN CEO 313-399-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401009466) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |