| NPI | 1780898064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY WICHMANN Administrator 248-307-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2017-06-29 |