| NPI | 1174720080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P GUSHO CFO Se Mi Region 248-858-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MI 810349) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-10-05 |