| NPI | 1609971662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM ARDOIN CFO 810-392-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 101YA0400X) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-03-04 |