| NPI | 1174328413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA WOODS CEO 313-779-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 251T00000X PACE Provider Organization | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 315D00000X Hospice, Inpatient | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |