| NPI | 1326328121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MAHANEY Administrator 906-225-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI AH520306235) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |