| NPI | 1104718170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA CALDWELL Vice President Of Administration 248-690-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |