| NPI | 1194106740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER HOWE COO 616-209-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0700123) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |