| NPI | 1184835084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SAMPSON Deputy Director 313-962-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 820152) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |