| NPI | 1578746053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN HERBISON Director Of Dd 734-785-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |