| NPI | 1780782748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENISE NICHOLS CEO/Owner 313-931-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820261288) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |