| NPI | 1821482803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA ARTINA WEBSTER CEO 313-953-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X (Licence: MI 6801094581) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2022-11-02 |