| NPI | 1790873347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN BROOKS Director 810-908-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 250346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801082709) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-01-19 |