| NPI | 1376777805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCHE RENEE FOSTER CEO 313-729-4547 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2023-05-24 |