| NPI | 1851457451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS JENNINGS Interim CEO 1313-894-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 820174) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 820704) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |