| NPI | 1669749057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMAN ANDINO Owner 734-895-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801089395) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2016-04-06 |