NPI | 1073724506 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP A PAPPALARDO Executive Director 734-522-7102 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
347C00000X Private Vehicle | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2020-08-22 |