| NPI | 1316393408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHMAAN N'KOSI KELLEY Director/ Licensee 989-714-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI CI730338770) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |