| NPI | 1114756566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMESHA NICOLE LITTLE CEO 313-970-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |