| 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 |