| NPI | 1972051662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIBEBU ALEMAYEHU President 313-510-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 25100000X) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |