| NPI | 1003053133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LAMOTT HAYNES President 616-365-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 410128) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |