| NPI | 1932031283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY FOSTER Managing Owner 313-209-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |