| NPI | 1558485078 |
|---|---|
| Doing Business As | CORTLAND MANOR |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ANN LOGAN Owner 313-575-2317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820280711) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |