| NPI | 1467209338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA JORDAN Administrator 313-605-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |