| NPI | 1770904658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS CHURCHWELL CEO 231-728-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0610022) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI SA0610022) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |