| NPI | 1932422458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINTA MAMBOH NGALLA Director 248-798-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2012-02-15 |