| NPI | 1114079068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E WELLER Associate Director 734-261-1094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 372600000X Adult Companion | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |