| NPI | 1710471115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STORMEY DENISE JACKSON Clinical Director 248-252-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |