| NPI | 1508493016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE GIDDINGS Executive Director 313-434-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |