| NPI | 1407203185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUNDRA WILLIAMS-SULAIMAN Administrator 269-267-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MI AS390376802) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |