| NPI | 1396087078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS EDWARD HILL President/Executive Director 313-617-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820281136) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820278672) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-11-01 |