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 |