| NPI | 1275886665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVAUGHN S JONES Owner 313-350-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2024-04-01 |