| NPI | 1841643434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENA GLOVER Co Owner 313-999-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801085755) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |