| 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 |