| NPI | 1679622641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG KIRKLAND Executive Director 810-635-4407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-08-01 |