| NPI | 1104923580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. GLIDDEN Therapist 586-558-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 6801018501) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |