| NPI | 1861032534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIM KHANAFER Owner 734-412-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-10-21 |