| NPI | 1477713220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A CUNNINGHAM Office Manager 248-210-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |