NPI | 1306232632 |
---|---|
Entity Type | Organization |
Authorized Contact | GEREMY C BURNS Director 517-768-2778 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MI CO380201204) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2015-04-14 |