| NPI | 1528349156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA MARTIN WYCHE Director Of Contracts 313-515-9129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 111NX0100X Chiropractor Occupational Health | |
| 207LH0002X Anesthesiology Hospice and Palliative Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2014-02-28 |