| NPI | 1720448723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEZIRA SPAHALIC Owner 586-277-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |