NPI | 1366472300 |
---|---|
Entity Type | Organization |
Authorized Contact | WANDA L. HILL Executive Director 810-230-6942 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-08-22 |