| NPI | 1497086664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN SARAFA Deputy Director 313-893-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 4704272539) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |