| NPI | 1720326606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R ERVIN Recovery Coach 248-499-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI 820174) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |