| NPI | 1649354606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON LEWIS KENNEDY Administrator/Owner 313-931-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |