| NPI | 1417589086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENI V SMITH Partner 248-252-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-14 |