| NPI | 1518521806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN PALMER Administrator 313-999-0892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse | |
| 372500000X Chore Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2021-06-09 |