| NPI | 1780821900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANTHONY MCCARROLL Medical Director, President 586-783-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 500343) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2018-04-05 |