| NPI | 1184922627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL OLDEN Program Director 313-894-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |