NPI | 1568739159 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRDELL THOMAS Director 313-588-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 822496) |
Enumeration Date | 2011-11-26 |
Last Update Date | 2014-02-27 |