| NPI | 1033488879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIETRIC JENKINS Program Director 313-643-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |