| NPI | 1891988937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERVILLA HARRIS Social Worker 313-898-5938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI 6801015887) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2013-07-02 |