| NPI | 1801065909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIESHA HEMINGWAY Office Assistant 313-822-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 822778) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-22 |