| NPI | 1710028170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA HELEN ADAMS Therapist Iii Supervisor 586-948-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6301010681) |
| Additional Taxonomies | 251S00000X (Licence: MI 6401006960) |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-10-02 |