| NPI | 1134203235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JABLONICKY Executive Director 734-293-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-07-30 |