NPI | 1477762474 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKIE MOORE Director 313-579-9468 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301005272) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2008-10-06 |