| 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 |