| NPI | 1104100411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ANITA THOMPSON Executive Director 248-320-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MI 6802085964) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 6802085964) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |