NPI | 1073176087 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES HUDGENS CEO 810-233-5340 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-04-22 |