| NPI | 1942888292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY DESHETLER Client Care Manager 248-922-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |