| NPI | 1801352984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA SHONTA HUMBER CEO 313-414-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 172A00000X Driver | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2021-06-14 |