| NPI | 1871538108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M. BOISVENU President 734-458-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 251V00000X Voluntary or Charitable | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2017-02-28 |