| NPI | 1063171593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BUKOFFSKY Chief Executive Officer 586-491-1057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |