| NPI | 1679605190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN SADLER Executive Director 313-595-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 820115) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2020-08-22 |