| NPI | 1033284112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ELISABETH MANNING Vice President Community Relations 248-474-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS630067365) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820077491) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |