| NPI | 1063545556 |
|---|---|
| Doing Business As | GENESIS HOUSE THREE |
| Entity Type | Organization |
| Authorized Contact | CHAD AUDI Chief Executive Officer 313-993-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 821050) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |