| NPI | 1811094998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MAINVILLE CFO 313-361-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 4301061866) |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-21 |