| NPI | 1992210397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIDA HAMDAN CEO 313-525-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |