| NPI | 1629921283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY EDIAGBONYA Owner/President 313-695-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |