| NPI | 1700110798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL STEVEN GADDY Director 313-686-9172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MI 6401010658) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |