| NPI | 1083065767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA STAFFORD CEO 248-470-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MI 680109488) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |