| NPI | 1912433822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMISHA KAPLAN Administrator 248-252-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI As630298741) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |