| NPI | 1245901032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS RAUDSZUS Facility Manager 248-521-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |