| NPI | 1770021537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL DEWBERRY CEO 313-924-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0823182) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI SA0823182) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |