| NPI | 1922386986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R WATSON It Manager 313-538-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MI AS820295652) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI AS820295652) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MI AS820295652) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |