| NPI | 1467862409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY EILEEN BROWN CEO 313-595-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 6801085593) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 680185593) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |