| NPI | 1780224725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE DUMAS Director 313-870-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |