| NPI | 1912363805 |
|---|---|
| Former Legal Business Name | TECRESHIA RANA THOMAS |
| Entity Type | Organization |
| Authorized Contact | TECRESHIA RANA THOMAS Director 517-215-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-02-10 |