| NPI | 1902612906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BLAKELY Executive Director 313-510-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |