| NPI | 1538313085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE M LOVELL Program Director 517-803-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MI as820294204) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |