| NPI | 1154472710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYJANE PECK Executive Director 248-476-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MI C1630200987) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: MI CB630200988) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2025-09-11 |