| NPI | 1558521773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN D VAUGHN Owner 248-682-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 630279828) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |