| NPI | 1396436903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAIN MUGISHA Owner/Manager 616-818-8871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |