| NPI | 1396542940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIYA CASON Owner/Administrator 313-681-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |