| NPI | 1386978385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY DAVIS Operations Aide 734-455-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI CB820250537) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MI CB820250537) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 820019) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |