| NPI | 1891851226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCHELLE MITZI GAINES CEO 313-220-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-08-01 |