| NPI | 1548394331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWYNN BELL Program Director 313-921-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 822054) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |