| NPI | 1184718363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P. MCGUCKIN Execuctive Director 734-284-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MI 311Z00000X) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-03-21 |