| NPI | 1336475532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON K WILKES Executive Director 517-374-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2015-10-15 |