| NPI | 1922181312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LYNN KING Executive Director 734-422-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-09-11 |