| NPI | 1558876904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY MACKIE CEO 313-363-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820283583) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |