| NPI | 1972693372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BROWN Director 313-303-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MI AS820014388) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS820014388) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS820014388) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |