| NPI | 1669809638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIET ALEXANDER President/Sponsor 313-283-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI 823074) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |