| NPI | 1780980318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID COLEMAN Clinical Director 313-929-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI 6401011745) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 6401011745) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2011-01-30 |