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 |