NPI | 1912224825 |
---|---|
Entity Type | Organization |
Authorized Contact | JERMAINE GABRIEL President 248-789-8769 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820286839) |
Enumeration Date | 2010-05-02 |
Last Update Date | 2010-05-02 |