| NPI | 1891015814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB FAKHOURY President/CEO 248-399-8032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 631332) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 823129) |
| 251S00000X Community/Behavioral Health (Licence: MI 500450) | |
| 251K00000X Public Health or Welfare (Licence: MI 500450) | |
| 251K00000X Public Health or Welfare (Licence: MI 631332) | |
| 251K00000X Public Health or Welfare (Licence: MI 823129) | |
| 251K00000X Public Health or Welfare (Licence: MI 810364) | |
| 251S00000X Community/Behavioral Health (Licence: MI 810364) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-12-16 |