| NPI | 1861778680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SIMMONS Program Director 313-231-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 823101) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |