| NPI | 1528953734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFONTA HAYDEN Owner 586-980-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| 251X00000X Supports Brokerage | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |