| NPI | 1134487861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG KIRKLAND Executive Director 810-635-4407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI AS250010706) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |