| NPI | 1619309994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONNIQUE MILLINER Owner/Provider 248-943-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: GA 739025) |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |