| NPI | 1942470240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES LEVELLE BOONE Chief Executive Officer 313-682-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801016250) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2009-04-17 |