NPI | 1871866475 |
---|---|
Entity Type | Organization |
Authorized Contact | MAISHA KENYATTA Executive Director 313-822-6940 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 6401005925) |
Enumeration Date | 2012-02-14 |
Last Update Date | 2012-02-14 |