| NPI | 1487943197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM HERRON Substance Abuse Counselor 313-247-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |