| NPI | 1912434770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRA B LEONARD President 248-338-3743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS630244869) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |