| NPI | 1427830785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETH EVWARAYE CEO 313-335-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-11-14 |