| NPI | 1669864484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA WASHINGTON Technician 313-736-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 247200000) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |