| NPI | 1659428167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY M. KASSEN Asst. Exec. Director Finance 313-531-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI C1820201294) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-07-15 |