| NPI | 1710110093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA T. WALKER CEO 313-792-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801007547) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2011-09-02 |