| NPI | 1194930826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MYRON CLAXTON Executive Director 313-342-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |