| NPI | 1205382389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA ODESSA ROSSON Licensed Clinical Social Worker 313-293-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI E8830U) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |