| NPI | 1710709175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL LEBOURDAIS Director Of Clinical Services 989-493-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |