| NPI | 1154214831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMESE BAZZI-DAOUD President/CEO 313-820-0534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-05-31 |
| Last Update Date | 2025-06-02 |