NPI | 1366659906 |
---|---|
Former Legal Business Name | ELMHURST HOME, INC. |
Entity Type | Organization |
Authorized Contact | JOHN CAMPBELL ODEN Executive Director 313-867-1002 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 820202) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2023-03-20 |