| NPI | 1578850251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRDELL FAUSTINA THOMAS Clinical Director 313-365-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2013-09-26 |