| NPI | 1144303504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LULA M EUBANKS Administrator 313-833-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MI A820007537) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-08-22 |