| NPI | 1235478363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M. DIGGS Operations 231-535-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0150024) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2017-05-30 |