| NPI | 1467732263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET A PATTERSON Managing Member 248-723-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |