| NPI | 1184011769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BENNETT Authorized Official 313-790-3522 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: MI 795232) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-09-14 |