NPI | 1477965036 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN R ONAN Executive Director 231-932-9030 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI AL280006975) |
Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MI AL280006975) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2014-05-29 |