| NPI | 1073737433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JACOBS CEO 810-232-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 250041) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |