| NPI | 1518226323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN FREEMAN Provider 810-732-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI as250010767) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |