| NPI | 1700904828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS EVELYN STERRETT Program Supervisor 313-921-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801001987) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-08-11 |