| NPI | 1851824809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MCCULLOUGH Exeutive Director 517-264-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI sa0300027) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |