| NPI | 1457741274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN UGOCHUKWU Director 313-324-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2024-08-19 |