| NPI | 1457356453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD SADIQ Administrator 313-357-3079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2012-03-07 |