| NPI | 1457826315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZATTIE YOUNG Eco 313-727-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |