| NPI | 1730256496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUIERITE ANN SABA Executive Director 313-831-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AL820007565) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |