| NPI | 1477396356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARITTA WALLER Owner /Operator 313-656-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |