| NPI | 1598098147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LELAND HODGES Addictions Counselor 248-406-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |