| NPI | 1760606495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONNIE HANSEN Owner Case Manager 517-788-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6802080674) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X (Licence: MI 6802080674) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |