NPI | 1235359761 |
---|---|
Entity Type | Organization |
Authorized Contact | MYRA DUTTON CEO 231-728-3501 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2023-01-12 |