NPI | 1720268063 |
---|---|
Entity Type | Organization |
Authorized Contact | VERRITA RENEE FOUNTAIN Operations Manager 313-883-4515 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
Enumeration Date | 2007-11-04 |
Last Update Date | 2007-11-04 |