| NPI | 1528260700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WOODSIDE Executive Director 734-476-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-09-11 |