| NPI | 1740421254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DENICE MCCALL Chief Executive Officer 313-778-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801066493) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |