| NPI | 1417469347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANNE BRICK Owner 734-546-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 405300000X Prevention Professional (Licence: MI 6802089040) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2022-07-21 |