| NPI | 1801154943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNITA HAVARD Director 313-882-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 8200017384) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-05-25 |