| NPI | 1508170978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MOSLEY Executive Director 517-437-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 300031) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |