| NPI | 1083169502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY THOMPSON Executive Director 313-397-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI 6301006483) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |