| NPI | 1558676791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH F SMITH Executive Director 313-282-5948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801090126) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MI 6801090126) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |