| NPI | 1053619502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL OLDEN Program Director 313-894-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |