| NPI | 1639201262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S PALIWODA CEO 734-451-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 821032) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-05-07 |