| NPI | 1033951819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY L TAYLOR Administrator 313-926-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 104100000X Social Worker |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |