| NPI | 1831511393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL DEWITT THOMAS Administrator 734-726-4086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 347C00000X Private Vehicle | |
| 3747A0650X Technician, Attendant Care Provider | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2017-04-19 |