| NPI | 1326250713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERRITA RENEE FOUNTAIN Operations Manager 313-293-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820268828) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820283424) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820283422) | |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |