| NPI | 1649392721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN SCHMIDT-CARTER Executive Director 248-661-8795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI as630012572) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |