| NPI | 1366378234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKSHIA CARLTON Owner 586-221-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-06-19 |
| Last Update Date | 2026-06-19 |