| NPI | 1972930782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIE A SMITH Supervisor 810-388-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-12-03 |