| NPI | 1366694945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL FREEMAN Home Provider 810-732-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: MI as250010767) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |