| NPI | 1689240921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MICHAEL THORNE President/Supports Coordinator 586-610-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |