| NPI | 1902950025 |
|---|---|
| Doing Business As | HOLY CROSS SERVICES |
| Entity Type | Organization |
| Authorized Contact | LOISTENE PHILLIPS Credentialing Coordinator 313-880-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MI SA0730229) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0730229) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-04-22 |