| NPI | 1942733472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L PARKER Care Coordinator 248-298-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6802089312) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |