| NPI | 1013659333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EURICE PAIGE Excutive Director 810-423-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |