| NPI | 1194102624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE ROBINSON Program Coordinator 586-983-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |