| NPI | 1417149881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTRILLA MARIE ROSS-CHATMAN Executive Director 313-871-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 822348) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |