| NPI | 1922509884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA RICHARDSON BROWN Director 313-458-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 385H00000X Respite Care | |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |