| NPI | 1205077088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY KALAR Program Director 231-887-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 510025) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |