| NPI | 1922375138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET A WETHERELL Accountant 989-792-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2018-03-28 |