| NPI | 1649677873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE DENISE RODEN Cota/L 313-316-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MI 5202001741) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MI 5202001741) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |