| NPI | 1447619697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEDESTA NWABUEZE President 248-910-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MI AF820307845) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2017-02-03 |