| NPI | 1528526266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY RAUCH Executive Administrator 989-418-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |