| NPI | 1891917191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN DAVIS Administrator 313-874-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AL820069974) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-08-15 |