| NPI | 1063786168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEHAN CRUMP-GIBSON Vice President 313-205-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |