| NPI | 1386432219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVITA BAILEY Owner 313-434-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| 315D00000X Hospice, Inpatient | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |