NPI | 1629235924 |
---|---|
Doing Business As | CENTRO LATINO |
Entity Type | Organization |
Authorized Contact | BRENT WIRTH CEO/President 248-475-6400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-05-22 |
Last Update Date | 2022-08-26 |