| NPI | 1255470472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE WILLIAM HELLAR Chief Information Officer 734-229-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-12 |