| NPI | 1205380730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W BEYER CEO/President 734-787-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ otc7750) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2016-08-13 |