| NPI | 1124353743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANN EITNIEAR Care Giver 517-523-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AF300296275) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |