| NPI | 1659732691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN HOBERMAN Member 248-561-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 680101116) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |