| NPI | 1629884986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELL HARPER-SHELTON Executive Coordinator 810-449-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |