| NPI | 1265576540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI L LUTER Administrator 313-550-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI as820246102) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |