| NPI | 1427729490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY GANT Coordinator/Owner 313-413-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-12-20 |