| NPI | 1013143676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY GITZEN Executive Director 313-267-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 823069) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |