| NPI | 1538533617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE GIDDINGS Owner 313-434-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |