| NPI | 1164638748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEOPAS ALLAN KALIATI Owner 269-760-8553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS390257369) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS390283892) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS390263898) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS800281915) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AS390271092) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-06-23 |