| NPI | 1841435294 |
|---|---|
| Former Legal Business Name | JUDA TRANSITIONAL & RECOVERY HOUSE |
| Entity Type | Organization |
| Authorized Contact | ALONZO JOHNSON Executive Director 313-982-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |