| NPI | 1205727542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASMIRE PHAM Adminstrator 248-938-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-15 |