| NPI | 1487163721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENID ALEXANDRA MOORE Owner 734-377-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |