| NPI | 1851433643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE BONSCOUR Supports Coordinator 586-783-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-08-13 |