| NPI | 1760936926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CICHON COO 313-626-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801015243) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |