| NPI | 1003350554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY T CARONE Chief Consultant 734-673-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801020222) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MI 6801020222) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |