| NPI | 1497029227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN PIERCE TIBBS Occupational Therapist 248-789-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MI 5201002048) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-26 |