| NPI | 1215203963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMAND WILLIAMS P Resident 313-282-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MI 1820316479) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |