| NPI | 1760199178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA IRENE POWELL Lisa Irene Powell, As Member 734-649-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |