| NPI | 1649739210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE ALFIE CLANTON Co Founder 313-588-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 310400000X Assisted Living Facility | |
| 332U00000X Home Delivered Meals | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 101YS0200X Counselor, School | |
| 172V00000X Community Health Worker | |
| 174200000X | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |