| NPI | 1861898918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN J GITRE Member 248-763-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI L183579) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |