| NPI | 1528145844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LEID Director Rcm & Client Relations 313-262-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 253J00000X Foster Care Agency | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-05-23 |