| NPI | 1134175607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M. WEDDA CEO 810-744-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 250051) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2009-02-03 |