NPI | 1790018489 |
---|---|
Doing Business As | DCDHS |
Entity Type | Organization |
Authorized Contact | CASSANDRA L DERRICK President, CEO 313-915-2644 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2009-09-12 |
Last Update Date | 2010-01-28 |