| NPI | 1992060396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A POWELL CEO 248-736-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-10-03 |