| NPI | 1245748201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY BARKER Credentialing Manager 734-373-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2024-07-15 |