| NPI | 1487239240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERITA JOHNSON President 313-598-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251S00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-03-13 |
| Last Update Date | 2021-08-17 |