| NPI | 1821479080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONI AFFUM Chief Executive Officer 313-410-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C007345) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2015-07-15 |