| NPI | 1053798033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT VAUGHTER CEO 313-894-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI L528696) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI L528696) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |