| NPI | 1003485830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN DOVICHI Program Director 313-269-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |