| NPI | 1093021859 |
|---|---|
| Other Name | THE LOVING HEAD QUARTER |
| Entity Type | Organization |
| Authorized Contact | SHANELL CLARK Officer 248-796-7291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MI af630309030) |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2018-11-15 |