| NPI | 1033585179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER EARBY Owner 313-363-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |