| NPI | 1548402126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN JOHN KOLODCHIN CEO 586-806-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MI CM500297574) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2011-02-11 |