| NPI | 1184111528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BUKOFFSKY Chief Executive Officer 586-491-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2021-12-09 |