| NPI | 1750833166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVIS Director 313-460-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0823060) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |