| NPI | 1487220083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAIKO SCOTT Owner 734-731-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |