| NPI | 1053760926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANESHA HUNTER COO 734-673-6860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |