| NPI | 1417023607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED E. WIGEN President CEO 989-777-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 730174) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |