| NPI | 1922415488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE DILLON Social Service Worker 313-879-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801094722) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |