NPI | 1982085015 |
---|---|
Doing Business As | MICHIGAN AUTISM ACADEMY FOR STAFF AND OC |
Entity Type | Organization |
Authorized Contact | PENNIE OHIA Owner/Proprietor 313-915-2236 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 347C00000X Private Vehicle |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2015-06-15 |
Last Update Date | 2015-10-11 |