| NPI | 1871731570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE ANN BRYANT President/CEO 248-542-2627 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820264458) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820284208) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820268621) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |