| NPI | 1144196932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERA REDD CEO 313-675-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 177F00000X Lodging |
| 251S00000X Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 174200000X Meals | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-11-21 |