NPI | 1144589581 |
---|---|
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 AS250010707) |
Enumeration Date | 2012-05-04 |
Last Update Date | 2012-05-04 |