| NPI | 1386777555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA SMITH Executive Director 313-895-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 820123) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-05-10 |