| NPI | 1972010627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNELL HURT Administrator 313-805-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |