| NPI | 1558797654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HOMER HARMON Owner/President 313-516-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5067) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2017-02-28 |