NPI | 1710153960 |
---|---|
Entity Type | Organization |
Authorized Contact | GRADY WILKINSON President CEO 810-392-2167 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 823012) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |