| NPI | 1164735148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALMA M. AJO Directoe 248-884-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MI 6301009737) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |