| NPI | 1609844976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P WALSH Executive Director 313-389-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 820588) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 820521) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 820428) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-22 |