| 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 Community/Behavioral Health | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |