| NPI | 1225511157 |
|---|---|
| Doing Business As | ROSE'S PLACE II |
| Entity Type | Organization |
| Authorized Contact | CHARISE MUHAMMAD Vice President 313-758-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820295801) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820295801) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |