| NPI | 1750859229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY SIBERT President 313-477-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |