| NPI | 1528885787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN JACKSON CEO 313-587-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |