| NPI | 1396531877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE LANETTE WALLACE Owner 586-241-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2025-04-19 |
| Last Update Date | 2025-04-19 |