| NPI | 1811601503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN SALEM Director Of Operations 586-921-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-03-27 |