| NPI | 1518110386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SMALL Executive Diection 313-834-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI C1820201096) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |