| NPI | 1841606753 |
|---|---|
| Doing Business As | ST JOSEPH MANOR |
| Entity Type | Organization |
| Authorized Contact | FARRUKH M MOGHUL Owner 313-882-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |