| NPI | 1295083723 |
|---|---|
| Other Name | SED WAIVER |
| Other Name | CHILDREN'S WAIVER |
| Entity Type | Organization |
| Authorized Contact | DEBRA B JOHNSON Executive Director 810-966-7886 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2025-06-12 |