| NPI | 1346528783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMAR ANTHONY MATHEWS President 248-987-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820071488) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |