| NPI | 1932363454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LARAIA President/CEO Mmc 231-392-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2024-10-02 |