| NPI | 1699878728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN JAMES EIFERT Therapist 810-392-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI #500044) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |