| NPI | 1871912311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BYBERG Program Coordinator 734-669-8265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |