| NPI | 1710049374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L ZUNIGA Chief Executive Officer 734-499-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-08-09 |