| NPI | 1639048564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLU AKANDE Director 231-620-4208 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 373H00000X Day Training/Habilitation Specialist | |
| 225A00000X Music Therapist | |
| 364SR0400X Clinical Nurse Specialist, Rehabilitation | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-10-30 |