| NPI | 1316973530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BURNETT Owner 810-736-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI af250093701) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-06-16 |