| 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 Community/Behavioral Health | |
| 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 |