| NPI | 1437400256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYISHA MUSTAFAH Addiction Counselor 810-407-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 2-01303) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2015-02-17 |