| NPI | 1831411537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ELLEN HINES Director Of Finance 313-584-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MI CI820201063) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2013-03-21 |