Individual provider · Type 1 NPI

Leann Renee Gastelum, DIRECTOR

Assisted Living Facility (Mental Illness) · Detroit, MI

NPI number 1699277004 Active

Practice location

19301 Winthrop St
Detroit, MI 48235

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone listed

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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About NPI 1699277004

Leann Renee Gastelum, DIRECTOR's National Provider Identifier is 1699277004, issued on Mar 1, 2018. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Detroit, MI. The record was last updated on Mar 1, 2018.