| NPI | 1851652408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LOFFREDO Clinical Director 313-515-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 823173) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |