NPI | 1801224613 |
---|---|
Entity Type | Organization |
Authorized Contact | TRINILDA FELEIR DEARING CEO 313-409-9935 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2013-10-15 |
Last Update Date | 2016-07-20 |