| NPI | 1598083602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS B MANSOUR President 248-568-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 03394h) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |