| NPI | 1851418602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES CLARK Counselor 313-371-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 821237) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |