| NPI | 1235675521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ALDRICH Executive Director 848-459-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AM250289405) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |