NPI | 1225710064 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ELLIS CEO 313-676-0013 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2023-08-02 |
Last Update Date | 2023-08-02 |