| NPI | 1952856650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOURA ABDULKADER Authorized Official 734-476-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |