| NPI | 1982128393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MEG SHEWMAKER Director Of Program Operations 810-238-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2021-10-20 |