| NPI | 1427396407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENARD RAMON FISHER Facility Supervisor 313-894-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |