| NPI | 1053879718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE FLOWERS Owner 313-334-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |