| NPI | 1992897557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODOSHIA CARETER CEO 313-933-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |