| NPI | 1659823102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHINA SMITH Administrator 313-304-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 6801078286) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |