| NPI | 1134341092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERNE DENISE MCGLOTHIAN Office Manager 313-921-8102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI C1820235935) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-08-14 |