| NPI | 1154696425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI LUTER President 313-550-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2018-03-20 |