| NPI | 1669592036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSE SHABAZZ Counselor 313-371-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 8210055) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |