| NPI | 1467009258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKIYA LUCAS ANIAPAM Executive Assistant 248-935-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |