| NPI | 1225283674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINGSLEY AMADI CEO 248-941-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| Enumeration Date | 2008-11-27 |
| Last Update Date | 2008-11-27 |