| NPI | 1336332972 |
|---|---|
| Doing Business As | MGS HAVEN |
| Entity Type | Organization |
| Authorized Contact | VALNEDRA JAMILLE SHROPSHIRE Licensee 313-549-8546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI as820287267) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI as820287267) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |