| NPI | 1790292928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARICIA REGENE CARTER President 248-495-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2019-01-09 |