| NPI | 1376369397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURYN ALEXUS MCKENNEY Co Owner 313-980-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |