| NPI | 1003180902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERY E. BROWN Clinical Supervisor 313-822-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 822051) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |