| NPI | 1568556579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ BYRD Business Manager 248-333-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 630606) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 250259) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-05-14 |