| NPI | 1487345799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL WILLIAMS Executive Director 313-449-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |