| NPI | 1639491186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS CRAWFORD Clinical Supervisor 313-263-0077 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 251B00000X) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |