| NPI | 1578344297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA NEWMAN Lpn, COO 313-473-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |