| NPI | 1518689264 |
|---|---|
| Doing Business As | WAYNE |
| Doing Business As | GENEVA MOORE |
| Entity Type | Organization |
| Authorized Contact | GENEVA A MOORE Administrator 313-330-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |