| NPI | 1588292601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL A PERRY VP Of Quality 313-410-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 405300000X Prevention Professional | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |