| 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 |