| NPI | 1679727523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LANE MCCLAIN CEO 313-770-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 823142) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 822974) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2011-02-08 |