NPI | 1881907053 |
---|---|
Entity Type | Organization |
Authorized Contact | WILMA KAY BAKER President 313-622-8201 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI as630302466) |
Enumeration Date | 2010-07-16 |
Last Update Date | 2010-07-16 |