| NPI | 1932557717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAITHEM SAFO Lpc 586-983-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |