| NPI | 1356424832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L WILLIAMS-DAWSON Provider 313-837-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MI AL820007539) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-09-18 |