| NPI | 1679663546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN RUCKER President & CEO 313-924-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208D00000X General Practice |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-06-08 |