| NPI | 1942678107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILA S RYDER President/CEO 313-493-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |