| NPI | 1215405626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE TAYLOR Program Manager 248-632-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253J00000X Foster Care Agency | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |