NPI | 1205599131 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA REID Administrator 313-768-8613 |
Organization Subpart ? | No |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
104100000X Social Worker | |
163W00000X Registered Nurse | |
164W00000X Licensed Practical Nurse | |
171400000X Health & Wellness Coach | |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
372500000X Chore Provider | |
Enumeration Date | 2021-10-18 |
Last Update Date | 2021-11-16 |