| NPI | 1073792966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED SADIQ President 248-879-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |