| NPI | 1689088767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC CALLAND Clinical Supervisor 313-867-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 821624) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |