| NPI | 1164753828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWYNEVERE M. COLES Founder & Director 313-706-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2015-07-16 |