| NPI | 1447627955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE L DRAPER Program Manager 810-407-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |