| NPI | 1033519327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY LEVITON Managing Director 517-278-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0120018) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-10-15 |