| NPI | 1659468882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL C HAIGHT Licensee 313-341-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820279313) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |