| NPI | 1891017372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CRANE Executive Director 906-482-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 310002) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MI 310002) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |