| NPI | 1821605064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHELLA SAVAGE Clinical Director 313-286-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |