| NPI | 1861882821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DELL ELLIS CEO 313-676-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820360989) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |