NPI | 1972112563 |
---|---|
Doing Business As | MICHIGAN HOUSE 2 |
Entity Type | Organization |
Authorized Contact | SENA STREETS Program Manager 559-347-7627 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-09-02 |