| NPI | 1962386854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: MI AS820418004) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI AS820418004) |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: MI AS820418004) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MI AS820418004) | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-09-19 |