NPI | 1902131733 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG TOUTANT Chief Executive Officer 906-228-9699 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 490022) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2023-12-28 |