| NPI | 1356880157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN LIDDELL Owner 734-837-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |