| NPI | 1053722280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM CARPENTER Director 248-562-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MI L2527661) |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MI SA0631360) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0631360) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2016-04-19 |