| NPI | 1376475814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKE THOMAS Owner 313-979-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |