| NPI | 1275154833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANA ATTAR Vice President 248-905-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-10-23 |