| NPI | 1467758789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONZO KEVIN MORGAN President 248-796-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |