| NPI | 1144634254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MAINVILLE Adminstrator 313-361-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI sa0820103) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |