| NPI | 1104249374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SUZANNE PRELLBERG Registered Nurse 248-554-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MI 4704298086) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |