| NPI | 1386947299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKEISHA BROWN Administrtor 313-529-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820238444) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI AS8202384444) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |