| NPI | 1831568500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CAROL WATTS Care Giver 313-864-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |