| NPI | 1740670512 |
|---|---|
| Doing Business As | MALE RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH STANLEY PALIWODA CEO 734-451-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0631403) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI sa0823220) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2018-05-04 |