| NPI | 1144989351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BILLUPS-DAVIS Director 248-796-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |