| NPI | 1356010144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER DALE CURTIS Program Manager 517-349-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |