| NPI | 1962206557 |
|---|---|
| Other Name | KIMBERLY SANDERS |
| Entity Type | Organization |
| Authorized Contact | ALEX CORWIN THOMAS Administrator 313-412-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-09-19 |