| NPI | 1598120925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH GROVES President 313-410-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MI AS82036913) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |