| NPI | 1659602076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L LAFAVE CEO/President 906-228-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2022-07-25 |