| NPI | 1679803464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL DEWBERRY CEO 313-869-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2022-07-21 |