| NPI | 1669641791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MILES TOUTANT Executive Director 906-228-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 360013) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2023-12-28 |