| NPI | 1679742597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MILES TOUTANT Greg Toutant 906-228-9699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 170028) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2025-02-18 |