| NPI | 1831603059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEWART Executive Director 313-460-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |