| NPI | 1669833455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN TAYLOR CEO 248-350-0357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS630313908) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-29 |