| 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 |