| NPI | 1407262447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAWANYA ABENA JACKSON Independent Support Coordinator 313-942-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6803085548) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |