| NPI | 1629050471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN CHILES THOMAS Executive Director 313-491-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 822416) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-08-22 |