| NPI | 1518377886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONNISE WOODS Executive Director 313-633-5644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-06-02 |