NPI | 1295579290 |
---|---|
Entity Type | Organization |
Authorized Contact | VADIE TERRY CEO/Provider 313-491-6023 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2024-06-24 |
Last Update Date | 2024-06-24 |