| NPI | 1700285848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN THOMAS Clinical Director 313-331-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6802087757) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |