NPI | 1437515061 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDER DEAN TRIGGS President 313-412-1318 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
Additional Taxonomies | 251E00000X Home Health (Licence: MI L760342) |
251B00000X Case Management | |
251S00000X | |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |