| NPI | 1417459975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE GILBERT Owner 313-790-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2019-06-11 |