| NPI | 1104261437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUATA SOMONIA TAYLOR Case Manger 248-409-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6802087056) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |