| NPI | 1518245992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMAR ANTHONY MATHEWS President/CEO 248-987-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS630272358) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |