NPI | 1619553955 |
---|---|
Entity Type | Organization |
Authorized Contact | DESHONA WRIGHT CEO 313-454-7736 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251E00000X Home Health |
251S00000X | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
Enumeration Date | 2021-03-18 |
Last Update Date | 2021-03-18 |