| NPI | 1720696107 |
|---|---|
| Doing Business As | NOVUS LIVING 1 |
| Entity Type | Organization |
| Authorized Contact | ELISSA JABBOURY Owner 248-789-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |