| NPI | 1760848915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE AMELIA JOHNSON Home Provider 313-454-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MI AF820375443) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |