| NPI | 1306173828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNE DAVIS Owner Operator 313-220-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS8202283668) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |