| NPI | 1285122325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORCHIA DURANT CEO 248-910-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 174200000X |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |