| NPI | 1700037082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS D BURNETT Owner/Administrator 810-238-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AM250289405) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AM250289405) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |