| NPI | 1720874423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENDIA HAWKINS Owner 313-479-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-05-12 |