| NPI | 1134935406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELL DENELL HARPER-SHELTON Executive Coordinator 810-238-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |