| NPI | 1689565517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKEEBA WILLIAMS Member 313-932-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |