| NPI | 1053651505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CECILIA GRIFFIN Owner 313-828-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |