| NPI | 1629476379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LAMONT PRICE Act Advocate 313-784-3336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 680208715) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |