Johnson Estate LLC

NPI #1942893250 in Pontiac, Michigan

Provider Information

NPI Number: 1942893250
Entity Type: Organization
Organization Name: Johnson Estate LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Feb 17, 2021
Last Updated: Feb 17, 2021

Practice Location

Address: 116 N JOHNSON ST
City: Pontiac
State: Michigan
ZIP Code: 48341-1330
Phone: (248) 481-7120

Authorized Official

Name: MS. MS.KIM K YOUNG, LLMSW
Title: PROGRAM COORDINATOR
Phone: (248) 481-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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